中国老年保健医学
中國老年保健醫學
중국노년보건의학
CHINESE JOURNAL OF GERIATRIC CARE
2015年
2期
95-97
,共3页
刘申香%汪竹%袁昕%朱卉%徐永成
劉申香%汪竹%袁昕%硃卉%徐永成
류신향%왕죽%원흔%주훼%서영성
骨髓抑制%化疗%抗肿瘤药物
骨髓抑製%化療%抗腫瘤藥物
골수억제%화료%항종류약물
bone marrow suppression%chemotherapy%antitumor drugs
目的:探讨常规剂量化疗后Ⅳ度骨髓抑制的处理及防治措施。方法选取我院恶性肿瘤患者2756例次,调查发生Ⅳ骨髓抑制患者的年龄、性别、治疗方案等信息,探索其规律性及存在的问题,提出解决的办法或建议。结果收集共发生Ⅳ骨髓抑制35例次,其中以紫杉类骨髓抑制发生率最高,其次是培美曲塞、伊立替康、替吉奥、CHOP方案等;骨髓抑制程度与感染率呈正向关系,与性别、年龄无显著差异。结论Ⅳ骨髓抑制对肿瘤患者的化疗影响较大,常常导致化疗的中断或失败,严重导致患者死亡。因此,要及时使用预防药物、注意提高机体免疫力、加强护理、防止感染和死亡。
目的:探討常規劑量化療後Ⅳ度骨髓抑製的處理及防治措施。方法選取我院噁性腫瘤患者2756例次,調查髮生Ⅳ骨髓抑製患者的年齡、性彆、治療方案等信息,探索其規律性及存在的問題,提齣解決的辦法或建議。結果收集共髮生Ⅳ骨髓抑製35例次,其中以紫杉類骨髓抑製髮生率最高,其次是培美麯塞、伊立替康、替吉奧、CHOP方案等;骨髓抑製程度與感染率呈正嚮關繫,與性彆、年齡無顯著差異。結論Ⅳ骨髓抑製對腫瘤患者的化療影響較大,常常導緻化療的中斷或失敗,嚴重導緻患者死亡。因此,要及時使用預防藥物、註意提高機體免疫力、加彊護理、防止感染和死亡。
목적:탐토상규제양화료후Ⅳ도골수억제적처리급방치조시。방법선취아원악성종류환자2756례차,조사발생Ⅳ골수억제환자적년령、성별、치료방안등신식,탐색기규률성급존재적문제,제출해결적판법혹건의。결과수집공발생Ⅳ골수억제35례차,기중이자삼류골수억제발생솔최고,기차시배미곡새、이립체강、체길오、CHOP방안등;골수억제정도여감염솔정정향관계,여성별、년령무현저차이。결론Ⅳ골수억제대종류환자적화료영향교대,상상도치화료적중단혹실패,엄중도치환자사망。인차,요급시사용예방약물、주의제고궤체면역력、가강호리、방지감염화사망。
Objectives The aim of this study is to explore the treatment and prevention measures ofⅣdegrees myelosuppression caused by conventional-dose chemotherapy.Methods 2756 cases of malignant tumor patients in our hospital were enrolled.We in-vestigated the age, sex, therapy and other information of patients who occurred Ⅳ degrees myelosuppressionbone, summarized its regularity and problems, and proposed solutions or recommendations.Results There were 35 cases with Ⅳ degrees myelosuppres-sion, of which taxane has the highest incidence, followed by pemetrexed, irinotecan, S-1, CHOP regimen.The degree of myelosup-pression was positively correlated with the infection rate, but no correlation with gender and age.Conclusions Ⅳ degreesmyelo-suppression has great impact on the cancerous patients with chemotherapy, which often lead to chemotherapy disruption or failure, and even death.Therefore, it is necessary to use preventive drug in time, pay attention to improve immunity, strengthen nursing and prevent infection and death.